Beverly Behrman Bernzen in Lake Jackson - Clinical
Beverly Behrman Bernzen - NPI 1619947538
Beverly Behrman Bernzen is a Clinical in Lake Jackson, Texas. Beverly Behrman Bernzen practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beverly Behrman Bernzen is 1619947538. The last update date is 2009-06-24.
Beverly Behrman Bernzen's current location address is 115 N Dixie Dr, Lake Jackson, Texas. You can contact this provider via phone number 9792853583 and fax number 9792991783. The mailing address for Beverly Behrman Bernzen is 115 N Dixie Dr, Lake Jackson, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly Behrman Bernzen |
|---|---|
| Address | 115 N Dixie Dr, Lake Jackson, Texas |
| Phone Number | 9792853583 |
| Fax Number | 9792991783 |
| Sole Proprietor | Y |
| Credentials | LMSW |
NPI Number Detail
| NPI Number | 1619947538 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2009-06-24 |
Provider Mailing Address Detail
| Address | 115 N Dixie Dr |
|---|---|
| City | Lake Jackson |
| State | Texas (TX) |
| Post Code | 775665906 |
| Phone Number | 9792853583 |
| Fax Number | 9792991783 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 19546 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0063ES | TX | BCBS | |
| 100767603 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Beverly Behrman Bernzen by the Centers for Medicare & Medicaid Services?
The Beverly Behrman Bernzen has been issued the NPI (National Provider Identifier) 1619947538. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Beverly Behrman Bernzen is located?
The Beverly Behrman Bernzen is situated at the following address: 115 N Dixie Dr, Lake Jackson, TX, 775665906.
What is Beverly Behrman Bernzen's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Beverly Behrman Bernzen is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619947538 to Beverly Behrman Bernzen?
The Centers for Medicare & Medicaid Services originally issued the 1619947538 to Beverly Behrman Bernzen on 2006-01-24.
As of what date were the Beverly Behrman Bernzen's details last updated?
The information pertaining to the Beverly Behrman Bernzen, including its address, specialty, and other details, was most recently updated on 2009-06-24.